METRO ATHLETIC TRAINERS ALLIANCE AKA MATA NPI 1457313355

NPI Information

NPI: 1457313355
Provider Name: METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA
Classification: Specialist/Technologist - 225500000X
Entity Type: Organization
Address:
5735 SW 170TH AVE
ALOHA, OR
ZIP 97007
Phone: (503) 356-0120
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METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA is a specialist technologist in Aloha, OR. The provider is general classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure. METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA NPI is 1457313355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5735 SW 170TH AVE
ALOHA, OR
ZIP 97007-318
Phone: (503) 356-0120
Fax: (503) 693-2330

The provider's authorized official is Edward James Lewis .
The authorized official title is Athletic Trainer and has the following contact phone number (503) 312-2616.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225500000X	Specialist/Technologist		ATAT142301	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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